Matthews G J, Churchill B A, McLorie G A, Khoury A E
Hospital for Sick Children, Toronto, Ontario, Canada.
J Urol. 1996 Feb;155(2):686-8.
We characterized the occurrence of ventriculoperitoneal shunt infections after augmentation cystoplasty.
We reviewed the records of 20 myelodysplastic children with ventriculoperitoneal shunts followed for a minimum of 12 months after augmentation.
In 4 children (20%) a ventriculoperitoneal shunt infection developed. The single gram-positive infection occurred early (less than 30 days). The 3 gram-negative infections were delayed presentations (greater than 30 days). Organisms in 2 of the 3 gram-negative infections had been noted in a preoperative urine culture.
Ventriculoperitoneal shunt infection after bladder augmentation is common. Delayed presentation of shunt infections may indicate gram-negative infection. Sterilization of the urinary tract is indicated before augmentation.
我们对膀胱扩大成形术后脑室腹腔分流感染的发生情况进行了特征描述。
我们回顾了20例患有脊髓发育不良且接受了脑室腹腔分流术的儿童的记录，这些儿童在膀胱扩大成形术后至少随访了12个月。
4名儿童（20%）发生了脑室腹腔分流感染。1例革兰氏阳性菌感染发生较早（少于30天）。3例革兰氏阴性菌感染为延迟出现（大于30天）。3例革兰氏阴性菌感染中有2例的病原体在术前尿培养中已被发现。
膀胱扩大成形术后脑室腹腔分流感染很常见。分流感染的延迟出现可能提示革兰氏阴性菌感染。在膀胱扩大成形术前应进行尿路灭菌。
